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1831415447
PAUL LLOYD HANSEN
BLACKFOOT, ID
NPI
1831415447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D3613)
Enumeration Date
2010-04-08
Last Update Date
2010-04-08
Business Address
DR. PAUL LLOYD HANSEN D.D.S.
625 W BRIDGE ST
BLACKFOOT, ID 83221-2018
Phone number: 208-785-2685
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Mailing Address
DR. PAUL LLOYD HANSEN D.D.S.
PO BOX 458
BLACKFOOT, ID 83221-0458
Phone number: 208-785-2685
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